|Preoperative state of mind among patients undergoing CABG: effect on length of stay and postoperative complications.|
|PMID: 15686079 Owner: NLM Status: MEDLINE|
|This study was undertaken to determine if a pessimistic self-assessment prior to an elective coronary artery bypass graft (CABG) was predictive of postoperative complications and increased length of stay (LOS). Subjects (n = 565), aged 65 and older and undergoing elective CABG, were stratified into 2 groups (optimistic, pessimistic) based on their mental health subscale scores prior to surgery. After adjusting for age, gender, and severity of disease, the average LOS for pessimistic patients was 1.3 days longer than for optimistic patients. Despite adjustment for previous CABG, renal failure, peripheral vascular disease, and gender, pessimism was associated with an increased risk of prolonged ventilation time and permanent stroke. Negative state of mind prior to a major cardiovascular intervention may be predictive of increased LOS, permanent stroke, and prolonged ventilation time.|
|Linda S Halpin; Scott D Barnett|
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|Type: Journal Article|
|Title: Journal of nursing care quality Volume: 20 ISSN: 1057-3631 ISO Abbreviation: J Nurs Care Qual Publication Date: 2005 Jan-Mar|
|Created Date: 2005-02-02 Completed Date: 2005-03-17 Revised Date: 2007-11-15|
Medline Journal Info:
|Nlm Unique ID: 9200672 Medline TA: J Nurs Care Qual Country: United States|
|Languages: eng Pagination: 73-80 Citation Subset: IM; N|
|Inova Heart and Vascular Institute at Fairfax Hospital, Falls Church, VA 22042, USA. firstname.lastname@example.org|
|APA/MLA Format Download EndNote Download BibTex|
Aged, 80 and over
Analysis of Variance
Attitude to Health*
Coronary Artery Bypass / adverse effects, psychology*
Coronary Disease / classification, psychology, surgery
Length of Stay / statistics & numerical data*
Postoperative Complications / epidemiology*, etiology
Predictive Value of Tests
Preoperative Care / psychology*
Psychiatric Status Rating Scales
Respiration, Artificial / statistics & numerical data
Self Assessment (Psychology)
Severity of Illness Index
Stroke / epidemiology, etiology
Surgical Procedures, Elective
Total Quality Management / organization & administration
Virginia / epidemiology
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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